ﺑﺎﺯﮔﺸﺖ ﺑﻪ ﺻﻔﺤﻪ ﻗﺒﻠﯽ
خرید پکیج
تعداد آیتم قابل مشاهده باقیمانده : 3 مورد
نسخه الکترونیک
medimedia.ir

Distinguishing reversible cerebral vasoconstriction syndrome (RCVS) from primary angiitis of the central nervous system (PACNS)

Distinguishing reversible cerebral vasoconstriction syndrome (RCVS) from primary angiitis of the central nervous system (PACNS)
Variable Sensitivity
(95% CI)
Specificity
(95% CI)
PPV
(95% CI)
NPV
(95% CI)
Recurrent TCH* 74 (67-81) 98 (89-100) 99 (95-100) 53 (43-64)
Single TCH* 15 (10-22) 96 (85-99) 92 (75-99) 25 (19-32)
Plus normal brain MRI 2 (0-5) 100 (92-100) 100 (30-100) 23 (18-30)
Plus FLAIR dot sign 10 (6-16) 100 (92-100) 100 (79-100) 25 (19-32)
Plus border zone-only infarcts 3 (1-6) 100 (92-100) 100 (40-100) 23 (18-30)
Plus vasogenic edema (PRES) 4 (1-8) 100 (92-100) 100 (54-100) 24 (18-30)
Plus ICH or cSAH 9 (5-15) 96 (85-99) 88 (64-98) 24 (18-31)
No TCH; positive angiogram* 11 (6-17) 49 (34-64) 42 (23-58) 14 (9-20)
Plus normal brain MRI 1 (0-3) 100 (92-100) 100 (17-100) 23 (17-29)
Plus border zone-only infarcts 5 (2-9) 98 (89-100) 88 (47-98) 23 (18-30)
Plus ICH or cSAH 3 (1-6) 98 (89-100) 80 (29-97) 23 (17-29)
Plus vasogenic edema (PRES) 3 (1-7) 100 (92-100) 100 (48-100) 23 (18-30)
Plus FLAIR dot sign 6 (3-11) 94 (83-99) 75 (43-94) 23 (18-30)
No TCH; positive angiogram; for the diagnosis of PACNS:
Plus deep/brainstem infarcts 38 (35-54) 100 (98-100) 100 (81-100) 85 (79-89)
Plus CSF abnormal 28 (16-43) 99 (95-100) 87 (60-98) 82 (76-88)
Plus both of the above 28 (16-43) 100 (98-100) 100 (75-100) 83 (77-87)
CI: confidence intervals; PPV: positive predictive value; NPV: negative predictive value; TCH: thunderclap headache; MRI: magnetic resonance imaging; FLAIR: fluid-attenuated inversion recovery; ICH: intracerebral hemorrhage; cSAH: convexal subarachnoid hemorrhage; CSF: cerebrospinal fluid.
* Values shown are for the diagnosis of RCVS.
¶ Abnormal is >5 cells and >80 mg/dL.
From: Singhal AB, Topcuoglu MA, Fok JW, et al. Reversible cerebral vasoconstriction syndromes and primary angiitis of the central nervous system: clinical, imaging, and angiographic comparison. Ann Neurol 2016; 79:882. http://onlinelibrary.wiley.com/wol1/doi/10.1002/ana.24652/abstract. Copyright © 2016 American Neurological Association. Reproduced with permission of John Wiley & Sons Inc. This image has been provided by or is owned by Wiley. Further permission is needed before it can be downloaded to PowerPoint, printed, shared or emailed. Please contact Wiley's permissions department either via email: [email protected] or use the RightsLink service by clicking on the 'Request Permission' link accompanying this article on Wiley Online Library (http://onlinelibrary.wiley.com).
Graphic 109960 Version 2.0

آیا می خواهید مدیلیب را به صفحه اصلی خود اضافه کنید؟